The Podcast by KevinMD
Episodes
What you need to know about monkeypox
17 Aug 2022
Contributed by Lukas
"What is currently known is that monkeypox is transmitted primarily through close contact with skin lesions, bodily fluids, and respiratory droplets. ...
Misaligned expectations lead to conflict, burnout, and disillusioned physician leaders
16 Aug 2022
Contributed by Lukas
"Would you expect the chef at a restaurant to be told that they are not only required to prepare the food in the kitchen but also deliver it to each o...
A medical student's advocacy journey
15 Aug 2022
Contributed by Lukas
"As I looked across the boxes on my screen, I saw the gleaming faces of my peers. Just as it did then, and as it has for countless of my peers since, ...
Are you ready to hear the truths about perfectionism?
14 Aug 2022
Contributed by Lukas
"Are you a perfectionist? Did you know that perfectionists are actually some of the biggest procrastinators? Yes, really. In theory, perfectionism sou...
Preserving humanity in the ICU
13 Aug 2022
Contributed by Lukas
"Five days before this story begins, where everything is upside down, and the end is the beginning. Me, standing in my PICU, slowly approaching that c...
What a lifetime of gaslighting by other doctors feels like
12 Aug 2022
Contributed by Lukas
"Ehlers-Danlos syndrome patients take an average of 10 years to be diagnosed. In that time, the pain from microtrauma and joint instability can become...
A caregiver's love story
11 Aug 2022
Contributed by Lukas
"Dying and introspection happening at the same time were a dual reality that I found impossible to ignore when Bill was not doing well. As Bill's poor...
A physician's work dread and what he did about it
10 Aug 2022
Contributed by Lukas
"Work dread. Even if you didn't know it had a name, you know the feeling. It is that sensation in the pit of your stomach when you realize that the st...
I'm a physician, not a provider
09 Aug 2022
Contributed by Lukas
"This is an important time to rise up, come together, and understand that it is our time to remove the confusing veil put on us. We are not delirious....
Why doctors are getting their asses kicked by technology
08 Aug 2022
Contributed by Lukas
"Physicians have terrible technology, but they refuse to recognize high-tech as a medical specialty. They must integrate technology as they do laborat...
Teen dies when blood culture protocol botched
07 Aug 2022
Contributed by Lukas
"Address the patient's chief complaint first. In this case, the other symptoms were only side effects of the main problem. Pay attention to lab work. ...
Less resiliency may heal burnout
06 Aug 2022
Contributed by Lukas
The word "resiliency" has been lauded, applauded, and buzzed about in talks about physician burnout. When I hear it, I tune out. My stomach churns. I ...
What it takes to build a pediatric weight management program
05 Aug 2022
Contributed by Lukas
"Amazing pediatricians are back where I was years ago, with their C-suite asking for business plans for the medical side of their adolescent bariatric...
Patient-initiated collaborative texting
04 Aug 2022
Contributed by Lukas
"Nearly three-quarters of consumers say they prefer texting with a business if an actual human is the returning texts — no bots need reply. But the ...
A breast cancer story from an Asian perspective
03 Aug 2022
Contributed by Lukas
"I was first diagnosed with stage 1 breast cancer, DCIS (ductal carcinoma in situ), on May 15, 2015, at 41 years old. I had my annual exam with my gyn...
How to improve medication adherence
02 Aug 2022
Contributed by Lukas
"Automation and technologies can enable adherence, but true change happens when physicians and pharmacists work together in collaborative teams to ach...
What this physician mom learned about shame
01 Aug 2022
Contributed by Lukas
"I cry often enough that my kids almost gleefully expect it, checking me for tears during movies or shows, shaking their heads in mock dismay when the...
A physician mom's take on telemedicine
31 Jul 2022
Contributed by Lukas
"In early 2018 when I started full-time telemedicine, I was quite reluctant about losing the physical hands-on evaluation, especially the palpation, p...
Transition planning: financial moves for medical residents and fellows
30 Jul 2022
Contributed by Lukas
"While you may not know exactly what your transition period will look like ahead of time, you can do your best to prepare for this change. By having a...
Robotic interventional cardiology
29 Jul 2022
Contributed by Lukas
"In the majority of robotic-assisted cases I perform, automated movements are particularly helpful in delivering gear – I can easily get balloons an...
What needs to change in medicine for it to be sustainable?
28 Jul 2022
Contributed by Lukas
"A prospect seeking a career in medicine must start with their own awareness of boundaries and perfectionism before entering the field. This inner wor...
What a good death looked like
27 Jul 2022
Contributed by Lukas
"He needed to be taken to the hospital to be pronounced, and he was put on a gurney. One frequently mouthed wish was to be taken from his home feet fi...
Allow yourself the space you need to heal
26 Jul 2022
Contributed by Lukas
"As doctors, we are called to heal. We are called to serve. It's in us. Our ability to heal and serve others does not have to be limited to the hospit...
We are humans first and gifted healers second
25 Jul 2022
Contributed by Lukas
"If I knew back in training and practice what I know now, I would have looked for the support and mentoring that would have helped me to forge a path ...
Stop financially handicapping non-citizen physicians
24 Jul 2022
Contributed by Lukas
"I acknowledge that as a physician, I am overall financially secure. However, after jumping over multiple extra hurdles to prove myself throughout my ...
Guns and public health advocacy
23 Jul 2022
Contributed by Lukas
"Nineteen children were killed in a mass shooting in Texas. I have barely escaped the pandemonium of the pediatric emergency department to scarf down ...
Patient platforms should be intuitive in design and execution
22 Jul 2022
Contributed by Lukas
"Communication is both the sending and receiving of information. Data is as difficult to receive and act upon as the ingredients of a meal because muc...
Fibromyalgia is not a trash can diagnosis
21 Jul 2022
Contributed by Lukas
"How would you like to see your career slip away from you as you gradually become less and less able to sleep, to rest, to feel awake, to feel like yo...
Don't give up on intermittent fasting just yet
20 Jul 2022
Contributed by Lukas
"So don't give up your eating window just yet! The good question I am hoping researchers will answer next: who loses the most weight? Is it the human ...
A bullied medical assistant's tragic story
19 Jul 2022
Contributed by Lukas
"Today, I'd like to tell you the story of one who was exemplary. He was never late to work. He never came in and insisted on finishing his breakfast a...
Why a nurse should not go to jail
18 Jul 2022
Contributed by Lukas
"From a place of personal accountability and commitment to system improvement, RaDonda Vaught's conduct in the aftermath of this tragic event has been...
Malpractice may be negative, but its data can generate positive results
17 Jul 2022
Contributed by Lukas
"When most health care professionals hear the word 'malpractice,' they want to run the other way. This is understandable—but also a missed opportuni...
Historical lessons to improve health care today
16 Jul 2022
Contributed by Lukas
"Medical advances can often stir up ethical issues, which ripple into two courts: the court of law and the court of public opinion. These news article...
Why the new 988 hotline has the potential to transform mental health care
15 Jul 2022
Contributed by Lukas
"The federal 988 hotline represents a promising new approach to alleviating the nation's growing mental health crisis, but several key challenges loom...
Using inquiry-based stress reduction to treat medical malpractice stress syndrome
14 Jul 2022
Contributed by Lukas
"We are busy people who have had much success; looking at our painful thoughts is not something we have had the need or opportunity to do. We may be a...
How to tackle the physician shortage
13 Jul 2022
Contributed by Lukas
"The national physician shortage is an urgent issue that requires immediate attention. Otherwise, the next time you seek medical care, you might be tr...
Not a cancer survivor or previvor, but a cancer preventer
12 Jul 2022
Contributed by Lukas
"I know how different my experience is. I am not facing potentially debilitating treatment(s) or the fear of death. Still, I am experiencing a physica...
A hospice doctor's advice on financial independence and living a regret-free life
11 Jul 2022
Contributed by Lukas
"Unlike my dad, I grew up with very different feelings about my own longevity. I have always believed that I would live to a ripe old age. This belief...
An example of medical-legal consulting
10 Jul 2022
Contributed by Lukas
"To a reasonable degree of medical probability, it was my opinion that the long hours the client spent typing, in addition to the poor ergonomics of h...
Allow yourself a moment to focus on yourself, not the next patient
09 Jul 2022
Contributed by Lukas
"Allow yourself a moment to focus on yourself, not the next patient. Take a drink of cold water, go to the bathroom, and maybe take a lap around the r...
A shortage of geriatric doctors
08 Jul 2022
Contributed by Lukas
"Policymakers and educators can introduce incentives and new educational programs to recruit more physicians to fill the care gaps for elderly patient...
Regulate your nervous system to improve your physical and emotional well-being
07 Jul 2022
Contributed by Lukas
"It makes sense that the body's reaction to the onslaught of perceived threats would have a detrimental effect on physical and mental well-being. Perc...
Be skeptical of certificate of need laws
06 Jul 2022
Contributed by Lukas
"Certificate of need (CON) laws purport to lower health care costs, increase patient access and ensure quality by managing the distribution of private...
Open-angle glaucoma: To screen or not to screen?
05 Jul 2022
Contributed by Lukas
"My take on the Task Force statement is that clinical judgment should rule as to whether or not screening is indicated for glaucoma. Family history, r...
Treating pain without medication
03 Jul 2022
Contributed by Lukas
"In my medical training, we were taught five ways to treat pain: lifestyle modifications, physical therapy, medications, injections, and surgery. Life...
Let's talk about bullying in medicine
02 Jul 2022
Contributed by Lukas
"Very few are talking about workplace bullying, yet many are benefitting from it. It acts contrary to the principles of care at the heart of medicine ...
What doctors need to know about physician health programs
01 Jul 2022
Contributed by Lukas
"Change is overdue. Physicians who need help for mental health issues or substance use disorders need to get it in a manner that is free of financial ...
A call to stop overworking
30 Jun 2022
Contributed by Lukas
"We are in an epidemic of gaslighting in medicine. The best definition I heard of gaslighting is transferring your authority on yourself from you to s...
What I learned after being hacked on social media
29 Jun 2022
Contributed by Lukas
"I never thought social media hacking would offer such important reminders and lessons, but here we are. By the way, I am the first to admit that it's...
Medical school loan repayment tips
28 Jun 2022
Contributed by Lukas
"My wife is a urogynecologist lucky enough to get through her seven years of residency plus fellowship with "only" $124,000 of student debt. When we d...
New legislation addresses health care professionals' mental health needs
27 Jun 2022
Contributed by Lukas
"For many health care professionals, the stresses of their roles routinely take a heavy toll on their mental and physical well-being. It did for me. T...
Physicians need to be trained as entrepreneurs and encouraged to innovate
26 Jun 2022
Contributed by Lukas
"Teaching medical students entrepreneurial and business skills is invaluable as the need for leadership in medicine grows in every single sector. Many...
Want your skin to look better? Then consider your mental health.
25 Jun 2022
Contributed by Lukas
"Stigma surrounding mental illness often prevents patients from seeking the mental health care they need, delaying care and prolonging suffering. Fear...
My experience as a teenage health care worker during the COVID-19 pandemic
24 Jun 2022
Contributed by Lukas
"We owe it to our patients to do better. Every time I picture the couple leaving the pharmacy unvaccinated, I am reminded that true health care requir...
Combining personalized education and digital technology to improve glucose monitors
23 Jun 2022
Contributed by Lukas
"Diabetes uniquely requires patients be experts in their own care and demands 24/7/365 vigilance. Close communication with a health care team eases th...
Healthy patients and healthy physicians: Is it possible?
22 Jun 2022
Contributed by Lukas
"Lifestyle medicine is part of regular medicine but stands apart in that it is health care that directly benefits patients through the restoration of ...
Strategies to help you prepare for multiple mini interviews (MMIs)
21 Jun 2022
Contributed by Lukas
"The bottom line is that while you can't predict exactly which MMI prompt you'll be given, you can absolutely start preparing for the MMI. Become fami...
Primary care's inevitable reboot
20 Jun 2022
Contributed by Lukas
"The tech giants of Silicon Valley – love them or hate them – have put incredible personal technology tools into homes and pockets of our patients...
Art as a tool to manage pain
19 Jun 2022
Contributed by Lukas
"I had also used arts and crafts previously in my own experience to help with healing. Including the previous year when I had a breast cancer recurren...
A bad death: the importance of truth-telling at end-of-life
18 Jun 2022
Contributed by Lukas
"In their hearts, her daughters just wanted their mother to make the most of the time she had left. She never made it to the beach or hugged her grand...
It's time to flip the script on peer evaluations
17 Jun 2022
Contributed by Lukas
"It's time to flip the script on evaluations. How can we shine a light upon the strengths of the wonderful peers we are blessed to work with? How can ...
Burnout is a spiritual crisis
16 Jun 2022
Contributed by Lukas
"It is a time to ponder on those essential questions: What is your purpose in life, and how can you follow it? What talents can you share with the wor...
Virtual care is convenient, but is it better for everyone?
15 Jun 2022
Contributed by Lukas
"2022 is well underway, and we are still unclear about exactly where this virus is headed and what the lasting impact it will have had on all of us. W...
How long will it take to address clinical inertia in T2DM?
14 Jun 2022
Contributed by Lukas
"It's been over twenty years since clinical inertia was coined a term, and since that time, experts have debated on how to define it, and where and wh...
Eating disorder myths debunked
13 Jun 2022
Contributed by Lukas
"When people think of eating disorders, the image is often of an emaciated, white teenage girl in the hospital hooked up to feeding tubes. In fact, ea...
Gender inequality is making burnout worse
12 Jun 2022
Contributed by Lukas
"If we want to alleviate the fatigue and frustration women physicians are experiencing, we can always start by solving two old problems: (1) All docto...
Thoughts of a retired physician
11 Jun 2022
Contributed by Lukas
"COVID-19 melted down the world at a very inopportune time in history. Just as medicine was getting a handle on previously intractable conditions, fro...
Nurses are struggling in isolation
10 Jun 2022
Contributed by Lukas
"It's apparent to most that the dark clouds and stormy waters in the business of health care continue. There is much that needs attention from both he...
A psychiatrist presenting emotion
09 Jun 2022
Contributed by Lukas
"Many families still prefer their providers to wear a mask. I have no way to know who carries what political or health views around their mask-wearing...
A physician's infertility story
08 Jun 2022
Contributed by Lukas
"My IVF baby turns 12 this week — and having attempted frozen and fresh IVF cycles six years ago, which did not result in pregnancies — I can also...
Burnout follows from physician to wellness director
07 Jun 2022
Contributed by Lukas
"Over the years, trainees poured their hearts out. I began developing wellness electives and curriculum. I ultimately became a founding co-chair of fa...
Patient care is not a spectator sport
06 Jun 2022
Contributed by Lukas
"Whether led by the patient or by a primary care physician or nurse practitioner, a proper leadership-based problem-solving methodology is a critical ...
Why the Great Resignation is a great opportunity to renegotiate physician employment contracts
05 Jun 2022
Contributed by Lukas
"There are numerous ways your contract (and your life) can be made better. If you do not want to do it for yourself, do it for your patients. A burned...
How to solve burnout with communication
04 Jun 2022
Contributed by Lukas
"How does it work? We teach people to speak to one another's values. Have you heard of listening to answer vs. listening to understand? Well, we take ...
Military and medicine: shared risk factors for eating disorder development
03 Jun 2022
Contributed by Lukas
"To reduce eating disorder risks and to support those who may be suffering in silence, we need to keep talking and promote awareness of the issues whi...
How reversing Roe v. Wade will affect physicians and patients
02 Jun 2022
Contributed by Lukas
"These changes on the horizon for our country are unlike anything we have ever experienced. We have only experienced an expansion of rights for those ...
A call to dismantle structural heteronormative care
01 Jun 2022
Contributed by Lukas
"The visit with my patient helped to change my perspective. I should not have made assumptions about her based on my implicit bias. I highly recommend...
A story of a good death
31 May 2022
Contributed by Lukas
"We must believe that inside, where our spirits live, there is an understanding, a belief, in those people we have loved and who have loved us, that t...
Why is it hard to find grace in medicine?
30 May 2022
Contributed by Lukas
"We can talk about the system-based approaches we have instituted to avoid burnout and the negative emotional consequences that arise from medical err...
How to maintain your relationships during nursing school
29 May 2022
Contributed by Lukas
"Maintaining a relationship during nursing school takes some effort. Your time is taken up by studying, classes, clinicals and labs. Oh, did I mention...
Why Congress should extend acute care at home waivers
28 May 2022
Contributed by Lukas
"More studies are needed to fully understand the impact of in-home hospital care programs on quality and cost. Extending the waivers will give physici...
Health care communications during the pandemic era
27 May 2022
Contributed by Lukas
"At the interpersonal level, people can help to normalize vaccination as the standard among their friends and family–not by lecturing or hectoring, ...
Practicing medicine as a Deaf physician is an uphill battle
26 May 2022
Contributed by Lukas
"No one anticipated how the pandemic would impact their Deaf colleagues' work environment and career opportunities. Yet, 15% of adults report some for...
Non-profit work and exploring the life of a pathologist
25 May 2022
Contributed by Lukas
In this episode, we talk to pathologist Hoda Zeinab M. Amer who discusses her work with non-profits, along with her book detailing the behind-the-scen...
Are you financially cheating on your spouse?
24 May 2022
Contributed by Lukas
"If you have never heard the term 'financial infidelity,' it doesn't mean you don't know what it is. In fact, according to a recent creditcards.com su...
Will Smith's slap is a trauma response
23 May 2022
Contributed by Lukas
"As physicians, we are masterful at suppressing so many of our emotions, and the thoughts and memories associated with them. However, trauma has a way...
A burnout coach saved my medical career — and possibly my life
22 May 2022
Contributed by Lukas
"I almost quit my job in 2014. I didn't like my life, and I didn't like myself. I had a lot of problems personally and professionally, and I wondered ...
Why I help physicians write
21 May 2022
Contributed by Lukas
"Physicians have a deep well of experiences to draw from in their writing. They witness dramatic episodes of heroism, cures, disappointments, and fail...
A physician's story of dissociative identity disorder
20 May 2022
Contributed by Lukas
"I had no recollection of this, but as I processed what Yael said, my response was the opposite of what one might expect—I felt tremendous relief! I...
Infertility treatment's hidden costs
19 May 2022
Contributed by Lukas
"Looking to the future, since I only froze one embryo and my ovary reserve is diminishing, we are hoping to go through another infertility treatment c...
Make technology work for doctors
18 May 2022
Contributed by Lukas
"I know many physicians are already maxed out. Technology can make that worse. As soon as you introduce what will be perceived as new obstacles to mov...
Only patients can save U.S. health care
17 May 2022
Contributed by Lukas
"Having a physician partner who knows us well, who we can trust, and whose judgment we value exponentially increases the odds of accurately making the...
Are my coping skills a result of my emergency medicine training?
16 May 2022
Contributed by Lukas
"We're encouraged to mentally rehearse life-saving procedures for conditions that occur so rarely we might go our entire career without performing the...
Residency interviews and the inner muse
15 May 2022
Contributed by Lukas
"Have you ever wondered how many times death has not come, but could have? On the corner of Church Street and Dubuque how close was I, pausing to asse...
A patient explains the reasons behind doctor hopping
14 May 2022
Contributed by Lukas
"Oh no, it's a doctor hopper. You know who I'm talking about: the patients with twenty previous doctors documented in their chart. The ones who took y...
Listening to the doctor's heart
13 May 2022
Contributed by Lukas
"A few months ago, I embarked on an ethnographic study to understand what health care professionals saw as the psychosocial needs of pediatric patient...
Inside the mind of a medical novel writer
12 May 2022
Contributed by Lukas
In this episode, we talk with writer Dustin Grinnell. He takes us behind the scenes on his ideas for his books, his research process, and how he bring...
COVID-19 and the Great Resignation: a catalyst, not the cause
11 May 2022
Contributed by Lukas
"The Great Resignation. I doubt there is a medical practice out there that has not been affected by it. And experts predict we are just at the beginni...
Jim Dahle, MD and the White Coat Investor
10 May 2022
Contributed by Lukas
In this episode, I interview Jim Dahle, creator of the White Coat Investor. He has literally created a new asset class of content: the health care pro...
We are not defined by what we eat
09 May 2022
Contributed by Lukas
"I propose that we look at what each choice in food does for us: How does it make my body feel? How am I able to sleep and move and focus when I eat t...